Individual provider Active NPI

Gavin Fleming Brown, M.D.

  • Neurology Physician
  • Canton, GA
National Provider Identifier
1710164975
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
001412 Issued in GA
Practice address
470 Northside Cherokee Blvd Ste 490
Canton, GA 30115-8015
Phone
(678) 538-2167
Fax
(678) 538-2165
NPI assigned
Jan 29, 2008
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 001412 GA Primary

Addresses

Primary practice location

470 Northside Cherokee Blvd Ste 490
Canton, GA 30115-8015

Mailing address

6600 Peachtree Dunwoody Rd Ste 325
Atlanta, GA 30328-6773
Phone (678) 538-2167

Other practice location 1

6135 Barfield Rd Ste 200
Atlanta, GA 30328-4308
Phone (404) 256-8500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gavinbrown@lmg.allscriptsdirect.net Direct
Direct Messaging Address gavinbrown@lmg.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000441 GA Practitioner - Neurology 1355470188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical School at San Antonio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Laureate Medical Group at Northside, LLCGroup PAC ID 2668458530, 75 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 605-3229

3400 A Old Milton Pkwy
Alpharetta, GA 30005-4438
Phone (678) 775-2284

5513 Chamblee Dunwoody Rd
Suite 430
Dunwoody, GA 30338-4106
Phone (770) 551-9633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
76.16
Promoting interoperability
88
Improvement activities
40
Cost
70.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
001412GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laureate Medical Group at Northside LLC CurrentSince Feb 1, 2014 Accepting new patients
Barry J McCasland MD PC PastSince Nov 19, 2023 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 500
Alpharetta, GA 30005
Phone (678) 775-2284

550 Peachtree St NE
Ste 1550
Atlanta, GA 30308
Phone (404) 892-2131

470 Northside Cherokee Blvd
Ste 490
Canton, GA 30115
Phone (678) 538-2167

6135 Barfield Rd
Ste 200
Sandy Springs, GA 30328
Phone (404) 256-8500

6600 Peachtree Dunwoody Rd
Bldg 600
Sandy Springs, GA 30328

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1710164975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 PEACHTREE DUNWOODY RD STE 325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286773",
            "telephone_number": "678-538-2167",
            "fax_number": "678-538-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 NORTHSIDE CHEROKEE BLVD STE 490",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158015",
            "telephone_number": "678-538-2167",
            "fax_number": "678-538-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6135 Barfield Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303284308",
            "country_code": "US",
            "telephone_number": "404-256-8500",
            "fax_number": "404-256-8506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GAVIN",
        "middle_name": "FLEMING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "001412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gavinbrown@lmg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct edge",
            "address_1": "6135 Barfield Rd Ste 200",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303284308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gavinbrown@lmg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct edge",
            "address_1": "470 Northside Cherokee Blvd Ste 490",
            "city": "Canton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301158015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.